Organization
LISA M. STEPHEN PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARY STEPHEN PH.D. (PSYCHOLOGIST)
(802) 355-9299
Entity
Organization
Contact information
Practice address
145 PINE HAVEN SHORES RD STE 2294, SHELBURNE, VT 05482-7703
(802) 355-9299
(802) 419-3399
Mailing address
PO BOX 302, JERICHO, VT 05465-0302
(802) 355-9299
(802) 419-3399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048-0000778
VT
Other
Enumeration date
01/05/2015
Last updated
07/25/2025
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